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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPIIYRIIILL~; <br />BUILDING DEPAR'nmNT <br /> <br />APPLICANT <br /> <br />Future Builders of Florida <br />38300 Fifth Avenue <br /> <br />PHONE <br /> <br />'782-5574 <br /> <br /> <br />ADDRESS <br /> <br />OI-lNER <br /> <br />Trustee Corporati on of Fi rst Bapti st Church' <br /> <br />JOB LOCATION <br /> <br />5210 - 5th Street <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />(LEGAL DESCRIPTION: LOT(S) 19 & 20 <br />PARCEL I.D.O 0010-15500-0190 <br /> <br />BLOCK 155 SUBDIVISION <br /> <br />HORK PROPOSED: New Construction <br />---= <br /> <br />____Addition --2LAlteration <br /> <br />-x--Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F J____ft of Units <br /> <br />._I'I/H <br /> <br />_Commercial <br /> <br />____Indust. _Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />He igh t <br /> <br />~UILDING <br />~ELECTRICAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />,,~ Do ~ \ PERMITS REQUESTED <br /> <br />$ Pt)/JI11;~d Valuation of Total Construction <br /> <br />Z-oo ANP Service ~IOricla Pmver Corp. <br /> <br />H.R.E.C. <br /> <br />RESIDENTIAL: <br />COI'I./'IERCIAL : <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBIN'G <br /> <br />GAS <br />~lOCk <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br />Comp'any <br />State Cert. or Regist. iF. ~t'.... oo~'~d( <br />City License Registration, ~ ~~ <br /> <br />.*...*......:::::::....)/J/:(;:'~':~, 6/c 6. <br /> <br />State Cert. or,Regist. 0 <br />Ci ty Licertse Regis tra !:ion it 'L// <br />****************************************** <br /> <br />Signature <br /> <br /> <br />pumBER Company <br />State Cert. or Rcgist. ff <br />Signature City License Registration U <br /> <br />HECIlANWA l.c?( Fez :;.,;;:;;:m:::::::.... .**..""", *,' "*', <br /> <br />. State Cert. or Regist. 0 <br />Signature ,City License Registration iF <br /> <br />jJ(Y <br /># <br /> <br />****************************************~;* <br /> <br />\. ~ <br /> <br />,. . ...'\.. <br />Company~, ' <br /> <br />State Ce1.'t. OJ.' Ji.c~gi.Sl:. " <br /> <br />Cit)1 LicCll:;C l:egisl~rat:ioll ;" <br /> <br />t, <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />:: -.': .,~ 1: 0.:": * ..I: ~'; -;: -!, ;: -.': <br /> <br />!)EE~IIT OFFIn~g. <br />